| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.99 | $11.99 | $11.99 | |
Aetna
| Professional | $12.28 | $12.28 | $13.51 | |
BCBS
| Professional | $26.52 | $31.20 | $31.20 | |
Cigna
| Facility | $11.59 | $11.59 | $11.59 | |
Cigna
| Professional | $12.28 | $15.07 | $17.38 | |
United
| Professional | $12.28 | $12.28 | $12.28 |